Please answer this application as completely as possible. Once you submit the application, we will contact you within 2 business days to set-up an interview and complete your registration. Thank you for your interest in the program. If it does not let you complete an application because you already applied please email
Please complete this section for the primary parent/guardian of the child. This is who we will most likely contact first to complete the enrollment.
Please complete this section based on where the child primarily resides.
Click here to find a provider in your area.
Please include any other parent or guardian for the child.

Are there other adults in the household?

Add Another Adult
Please tell us a little more about your family to speed up the process. We define family on this page as those related by blood, marriage, or adoption.
Please tell us about your child.
- Your Address - Available Locations
Click a location on the map to see more info
Click here to find a provider in your area.

Do you want to apply now for another child in your family?

Add Another Applicant

Are there other children in the family?

Add a Sibling
Thank you for your application. We will be contacting you soon to complete the process. We will also send you an email with further instructions.
Required information is missing, see above.